Chat With A Live Agent
WorldTravelCenter is now TravelInsuranceCenter WorldTravelCenter is now TravelInsuranceCenter
+1 866-979-6753 or +1 402-343-3699 (source id: wtc) - The Travel Insurance Experts - The Travel Insurance Experts Instant online insurance for all nationalities traveling anywhere in the world
Travel Safe with Travel Insurance or Travel Medical Insurance from
We offer International Medical Insurance Plans The Travel Insurance Experts! We offer Global Insurance Benefits Protect your loved ones with AD&D and Life Insurance
my policies
High Limit Accident Insurance
* required fields
Insured Information
First Name*  
Middle Name  
Last Name*  
Home Address*  
if Non US/Canada
Zip/Postal Code*  
Date of Birth*  
Height*     ft/in or meters
Weight*     lbs or kilos
Employment Information
Annual Income*  
In US Dollars
if Non US/Canada
Zip/Postal Code*  
Beneficiary Information
Contingent Beneficiary  
Contingent Relationship  
Policy Information
Purpose of Insurance*  
Air Travel  
Will all air travel be on regularly scheduled airlines?
Yes No
Desired Benefit Level*  
Not to exceed 10 times annual salary; In US Dollars
Coverage Requested   All-Risk, 24 Hour Common Carrier Air Travel Only
Optional Coverage   War, Acts of War or Terrorism
Benefits Requested   Accidental Death (AD)
Accidental Death and Dismemberment (AD+D)
Policy Effective Date*  
When should the insurance coverage begin?
Final Day of Coverage Date*  
When is the last day you wish to be covered?
Travel Itinerary
Provide Detailed Travel Itinerary, Including Destination(s), Duration, and Activities

Health Questions
Provide Details for Any 'Yes' Answers Below

Yes No   Have you any physical defect or infirmity?
Yes No   Is your sight or hearing defective?
Yes No   Have you ever suffered from any nervous or mental condition, fainting episode, blackout, fit, or paralysis of any kind?
Yes No   Have you ever suffered from high blood pressure, a heart condition, rheumatic fever, or diabetes?
Yes No   Have you ever suffered from a "slipped disk" or other spinal disorder, a hernia, or any rheumatic or arthritic condition?
Yes No   Have you ever been declined or accepted on special terms for life, accident, or illness insurance?
Yes No   Do you intend to engage in hazardous sports or any other pastimes that expose you to extra personal injury?

Provide details for any question answered "Yes" in the space above

Buy online or call us at +1 866-979-6753 or +1 402-343-3699
M-Th 7:30AM - 5PM Fri 7:30AM-3:30PM CST
(source id: wtc)

Vacation Insurance from International Medical Insurance from
home | products | my policies | helpdesk | insurance providers | affiliates
contact us | site map | privacy policy | insurance licenses | about us | twitter news archive

© 2018 Travel Insurance Center and Senior Market Sales, Inc.

Click here to email an insurance agent. Click to verify BBB accreditation and to see a BBB report.